Expression of Interest Form

Performing Arts Academy 2019- Expression of Interest Form
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* Indicates required field

Name *

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Last

D.O.B. *

Gender *

Current Year Level *

Address *

Current School *

Post Code *

State *

Parent/Caregiver Name *

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Last

Phone Number *

Email *

Previous Arts Experience *

Art Referee Name *

First

Last

Referee Title *

Referee Phone Number *

In this space, please say why you would like to be involved in the Performing Arts Academy at Charles Campbell College *

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